| Autor: |
Rickstrew, Jace, Neill, Brett C., Roberts, Erin, Tolkachjov, Stanislav N. |
| Předmět: |
|
| Zdroj: |
Dermatology Online Journal; 2021, Vol. 27 Issue 12, p1-4, 4p |
| Abstrakt: |
Background: Reconstruction of surgical defects on the dorsal finger can be challenging because of a lack of adjacent tissue reservoirs, poor laxity, and often thin, atrophic skin surrounding the defect. Objective: To present reconstructive options for cutaneous dorsal finger defects. Methods: We describe our five preferred approaches to reconstructing cutaneous dorsal finger defects based on the amount of available underlying tissue and location of the defect on the finger. Results: In the authors' opinion, for smaller defects between and including the metacarpophalangeal joint extending to the proximal interphalangeal joint, a transposition flap or unilateral advancement flap is preferable. For proximal finger defects that are wider, a unilateral rotation flap is appropriate. A Burow fullthickness skin graft can be used for any proximal defect with underlying soft tissue present. For defects with underlying bone or tendon present, a reverse cross-finger interpolation flap can be utilized. Conclusions: The unilateral advancement flap, unilateral rotation flap, transposition flap, fullthickness skin grafts, or the reverse cross-finger interpolation flap can be used to reconstruct the majority of cutaneous dorsal finger defects. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
